在罕见疾病的实用性研究:一个系统的文献综述
Benjamin Ruban-Fell1, Sari D Wright1, Adib Abdullah1
1Costello Medical, London, England, UK.
概括
为罕见疾病生成实用值通常使用通用工具,这些工具可能无法捕获特定的健康影响. 制定疾病特异性措施对于准确的治疗价值证明至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 罕见疾病研究 罕见疾病研究
- 生活质量评估生活质量评估
背景情况:
- 为罕见疾病生成健康状况实用值带来了标准化挑战.
- 现有的方法可能无法完全捕捉在罕见条件下对生活质量的微妙影响.
研究的目的:
- 系统地审查和描述用于生成罕见病实用数据的方法.
- 确定当前用于罕见条件的实用价值创造的常见方法和局限性.
主要方法:
- 系统地搜索MEDLINE/Embase,HTA和成本效益数据库的文献,并补充了灰色文献.
- 文章优先进行全文审查,由于证据的数量,使用2020年截止日期.
- 包括97篇文章评估56种罕见疾病.
主要成果:
- 确定了19种独特的与健康有关的生活质量工具,其中14种是通用的.
- 间接估值方法 (80例) 比直接方法 (43例) 更为普遍.
- EQ-5D问卷是最常见的间接方法 (55例);绘制算法是常用的,尽管存在挑战.
结论:
- 对于罕见疾病实用数据来说,通用,基于偏好的措施是常见的,有助于比较,但可能会降低敏感性.
- 需要制定有效的疾病特异性措施,并对标签方法进行透明报告.
- 改进的方法将确保全面捕捉罕见疾病的与健康有关的生活质量,支持治疗价值证明以获得退款.
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